Patient Accounts Representative organizes inpatient and outpatient claims for electronic or hard copy mail and forwards to appropriate third party payers. Reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary. Being a Patient Accounts Representative requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Patient Accounts Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Patient Accounts Representative typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
The Patient Access Representative assists patients, clinic staff or other clinical staff to schedule, pre-register, register for all services at Adena Health System. Patient Access Representatives use established interviewing techniques to gather information in person, by accessing Meditech or eCW or by phone. Information gathered includes demographic information, insurance, financial, ensuring correct precert/authorization and other information from patients or their representatives required for billing and collecting patient accounts. This position uses various electronic tools to ensure the patient's insurance coverage is active. This position will be required to run an estimate on each patient at each visit or over the phone when pre-registering. Required signatures and documents are obtained by this position at the time of registration and scanned into document imaging. This position enters diagnosis, tests and checks orders for completeness and medical necessity. This position interacts with clinicians in the ER, outpatient and clinics to ensure patient care is delivered in a timely manner. The Patient Access Representative must be self-driven and able to multi-task and prioritize their work. They must have strong communication skills and be able to deal effectively with others. This position is team oriented and contributes to achieving department goals. In addition, Patient Access Representatives at AGMC answer all incoming calls on the hospital switchboard and transfer as appropriate.
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